Healthcare Provider Details

I. General information

NPI: 1528084373
Provider Name (Legal Business Name): PRAC HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4244 UNIVERSITY BLVD S STE 3
JACKSONVILLE FL
32216-4978
US

IV. Provider business mailing address

801 WARRENVILLE RD STE 800
LISLE IL
60532-0912
US

V. Phone/Fax

Practice location:
  • Phone: 904-731-1183
  • Fax:
Mailing address:
  • Phone: 630-296-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21159096
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: DARBY ANDERSON
Title or Position: EVP CHIEF STRATEGY OFFICER
Credential:
Phone: 630-296-3441